Profits and prophets

The recent health care speech and debate has turned our attention to the idea of a profit motive.    Despite scare-mongering to the contrary, the plan on the table does not socialize medical care.  But President Obama makes no bones about the idea that the profit motive in this case needs to be kept in check.

I think he’s right.  And I think that’s these special ways that this plays out for Christians.

Many people believe that the more unregulated the profit motive is, the more efficient we, as a society become.  Self interest, they say, is the only trait we can really expect from people.  We end up saying if a person behaves in their own self interest this is a morally good thing for them to do.

But are we prepared to deal with the fall out when we apply this logic to providers of health care?  Some of the following are theoretic problems.  Some are actual, every-day, real world problems.  But all of them are examples of health care providers acting to maximize profits:

* Whenever it is cheaper to let a person die than treat a person, it is in the best interest of the provider to allow the person to die, if treatment will be more expensive than the premiums that the person will pay for the rest of their life.

* Whenever amputation is cheaper than rehabilitation or treating an ailment, we should expect the provider to amputate, provided that the amputation won’t interfere with the patient’s ability to pay premiums.

* The cheapest treatment will be preferred.  Even if this treatment is painful, inefficient, carries side effects, etc, this is the one that a rational health care provider will go with.

Their is a public relations aspect to all this.  It can be argued that companies might be willing to lose some profit because the negative PR will cost them more.  And sometimes this helps.  But the PR thing, it’s just another expense.  It’s just a further piece for the executives to figure into the equation.  Somewhere, right now, there is a guy in a suit.  And he is saying “If we do X, we will save Y dollars.   However, the negative PR will cost us an extra ___ dollars.  Which decision leads to a larger profit?  Is there a way we can spend a few dollars to undo that negative PR?”

I’m not meaning to demonize the executives.  They are between a rock and a hard place.  The problem is with the system itself.

For Christians, there is a further complication in all this.

If it’s true that self-interested decisions are the only reliable motivations, then this is a result of man’s fall.  Are we really foolish enough to want to court this?  Are we arrogant enough to think we can harness this?  Do we realize that this really is a deal with The Devil himself, in quite a literal way?

In so many things we are faced with a very difficult balancing act.  On the one side, we must accept that the world is a certain way.  On the other side, we should try to hope, work, and fight for a world that is better.  On the whole, an economy which is capitalistically oriented is a wise recognition of the way that a world is.  But to suggest that industries such as health care ought to be driven by capitalism is to go to far in this direction.

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jeffsdeepthoughts

The stories that speak to our soul begin at a home where things are good. Cinderella is happy with her father. The three little pigs have grown up and are ready to move on. Bilbo Baggins knows his shire. Adam and Eve walk with God in the garden. My story isn’t much different. There was a time and a place where it was so good. There was a community for me. And there was joy. We were filled with a sincere desire to do what God wanted us to do. We possessed explanations and understandings that went a certain distance. We offered security and tradition and laughter. For a lot of years, that was enough. I have this sense that it was also necessary. I have this surety, now, that it certainly wasn’t everything. There were some things that became increasingly problematic as time went by. There was a desire to package things up so very neatly. Sunday morning services were efficient and strategic. Responses to differences of opinion were premeditated. Formula began to feel more important than being real. A real desire for everybody to be one of us, but also a real sense that there is an us, and there is a them. They carried a regret that it has to be this way, but deeper than this regret was a surety that this is how it is. I began to recognize that there was a cost of admission to that group. There were people who sat at the door, collecting it. Those people wished they didn’t have to. But I guess they felt like they did have to. They let some people in, and they left others out. There was a provisional membership. My friends did possess a desire to accommodate people that are different… But it would be best for everyone concerned if they were only a little bit different. I did make many steps forward in this place. Before I went there, there were lies that I believed. Some of the things that I learned there, I still hold on to. But that place is not my home anymore. Those people are not my community anymore. There were times it was hard. I am engaged in a different community now. And I am working hard at finding a place in many different places now, embracing many different kind of families. I don’t always get it right. I am trying and I am learning and I am moving foreward. I have this sense that I am not alone in these experiences. I believe that we are tribe and we are growing. We are pilgrims, looking for a new holy land. Perhaps we won’t settle on the same spot of land. But if you’ve read this far, I am thinking that we are probably headed in the same general direction. I have begun this blog to talk about where my journey is taking me. In every space, we find people who help us along. And maybe we can get to know each other, here. We embrace ideas that provide a structure for the things we believe, and perhaps we can share these too. Maybe we can form a group, a tribe, a community, if we can figure out a way to work through the shadow of these kinds of groups, if we can bigger than the us-and-them ideas that have caused so much trouble in the past. As important as they are, I think the very nature of online interactions will lend itself to something equally powerful. I am stumbling onto these practices that my grandfathers and great grandfathers in the faith engaged in. I am learning about these attitudes and intuitions are so different than the kinds of things we call doctrine today. I don’t know about you, but I am running out of patience, and even interest, in conversations about doctrine. I hope that maybe you’ll share a little something about where your journey is taking you, and maybe our common joys and challenges might help each other along, and we might lift each other up. Thanks for doing this journey with me.

One thought on “Profits and prophets”

  1. I fully believe in voluntary socialism as outlined in Jesus’ teachings and the book of Acts. As Christians, I think we’re better off when we give cheerfully and gladly to provide for the needs of others.

    But as far as the rest of the world is concerned, you’ve hit on all the main points I agree with in regards to deregulation for those who are purely profit driven.

    You see, most of the regulation we put in place have certain loopholes that people focused solely on profits will find and exploit. That’s why a system that favors their self interest and rewards EVERYONE when they DO make selfish decisions is preferable (in my opinion) than one that causes profit-driven folks to hide their profits.

    That’s one reason that I don’t really like a progressive tax code that taxes wealth creators at a higher bracket than the rest of us… Smart investors simply hide their funds in other countries and so it doesn’t really deepen the Internal Revenue.

    During the Reagan Era, when they repealed some of the taxes on the rich, the government actually began taking in MORE revenue because some of the super rich began moving their finances back into the US from their off-shore accounts where they were tax-free.

    Anyhow, I’m not saying that we should allow everyone to do as they please in every case- often there are some regulations that need to be placed on human beings who want to live in a free society. At the same time, I’m not sure that ignoring the natural propensity toward self-interest is the best idea…

    Like

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